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Ann Thorac Surg 1999;67:1778-1780
© 1999 The Society of Thoracic Surgeons

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Case Reports

Ventricular thrombus and subarachnoid bleeding during support with ventricular assist devices

^a Department of Cardiothoracic Anesthesia and Intensive Care, Vienna General Hospital, Vienna, Austria
^b Department of Cardiothoracic Surgery, Vienna General Hospital, Vienna, Austria

Accepted for publication November 4, 1998.

Address reprint requests to Dr Gruber, Department of Cardiothoracic and Vascular Anesthesia & Intensive Care Unit, Vienna General Hospital, Waehringer Gurtel 18-20, A-1090 Vienna, Austria;
e-mail: eva.gruber{at}univie.oc.at

We report the case of a 23-year-old man with acute aortic valve insufficiency caused by endocarditis, who after emergency aortic valve replacement developed biventricular heart failure. The heart failure was treated with temporary assist devices. Subarachnoid bleeding and thrombus obstruction of the left ventricular outflow tract was detected. The postoperative course is presented with special emphasis on management of subarachnoid bleeding and the simultaneous use of anticoagulation necessary for ventricular assist devices.

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